Small Business Marketing Success

(Please note that any products offered with installment payments must be made on a credit card)

I Authorise You to Process a Payment on My Credit Card.

Master Card / Visa. (Please circle one.)

Cardholder Name:________________________________________________________________

Credit Card Number:___________________________________ Expiry Date:________________

Security Code (On back of card last 3 digits:____________

Name of products to be Purchased__________________________________________________

Single payment of, (including postage & handling): $........................

Please note that postage & handling for each of the following products: "Instant Profits," "High Level Profits" & "Ultimate Super Profits" is $20. All other products are $15. each for postage and handling. (Overseas P& H. extra charges.)

Cardholder Signature____________________________________

Full Name____________________________________________________________________________________

Address__________________________________________________________________________________ Email:________________________________ Fax___________________________

Telephone_____________________________ Mobile_______________________

All credit card orders can be faxed, emailed or rang through, (if you get the message service leave your number & we will call you back.) Any cheque or money orders can be posted to our postal address below.

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